Application Form

Invited by Maxxan

Personal Info

Applicant Type

Name *

Preferred Name (use for biz card) *

NRIC No. *

Date of Birth

Place of Birth

Status

Current Address (use to branch selection)

Correspondence Address - Same as above, if different please key in below

Mobile *

Mobile 2

Email *

Gender

Race *

Branch *

Designation *

Banking Info

Payee Name *

Payee ID Type *

Payee ID *

Bank *

Bank Account No *

Income Tax No (put If applicable)

Emergency Contact Info

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact No

Emergency Contact Name 2

Emergency Contact Relationship 2

Emergency Contact No 2

Attachment

IC Front

IC Back

Payment Slip

Bank Statement (if applicable)

Proof of experience

Photo for Namecard (if applicable)

Terms and Condition

Please read these terms and conditions carefully before submitting your application form. By submitting your application, you agree to be bound by the following terms and conditions:

I hereby declare and undertake that :-

a.	I have no previous criminal record or any criminal cases pending against me.
b.	All the particulars given above by me are true and correct.
c.	If any of the above information found to be false, my service shall be terminated immediately.
d.	Maxxan shall have the liberty to verify any of the information above.
e.	If I ever been absent from my duty or failed to report to my Leader for a continuous period of more than one month, I shall be deemed to have resigned from the company.
f.	Maxxan reserves the rights to terminate my service without further notice if I do not bring in any case for consecutive of 3 months.
g.	If I close any rental/subsales/project sales without submitting to Maxxan Realty Sdn Bhd/ getting prior consent from management, all my pending commission will be forfeited by Maxxan. Maxxan will reserve the rights to take legal action on me.
h.	Registration fee is non-refundable.

By accepting these terms and conditions, I confirm that I have read and understood all the provisions stated above, and I agree to be bound by them.

I acknowledge that my application form will only be considered and processed upon accepting these terms and conditions.

I understand that if I do not accept these terms and conditions, my application will not be accepted, and I will not be eligible for further consideration.

I further acknowledge that by accepting these terms and conditions, I am entering into a legally binding agreement with Maxxan Realty Sdn Bhd.

- Please indicate your acceptance of these terms and conditions by selecting the checkbox provided on the application form.